J. Michael Childress, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101032062 Issued in VA

Legal business name

J. MICHAEL CHILDRESS, MD

Practice address

2216 Princess Anne St
Fredericksburg, VA 22401-3300

Phone

(540) 371-5700

Fax

(540) 373-1228

NPI assigned

Jun 7, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Michael Childress, M.D.

Title

Physician

Phone

(540) 371-5700

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114967593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 PRINCESS ANNE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013300",
            "telephone_number": "540-371-5700",
            "fax_number": "540-373-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 PRINCESS ANNE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013300",
            "telephone_number": "540-371-5700",
            "fax_number": "540-373-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MICHAEL CHILDRESS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHILDRESS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "540-371-5700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101032062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Iwunze, MD
• Dembi Ophelia Iyekegbe, M.D
• Dennis Ogbeide Iyekegbe Jr., M.D.
• Keri Ann Izadi, DMD
• Keyoumars Izadi, MD, DDS
• Adel Jaber, PHARM D.
• Jackson Delivery Service LLC
• Delancy Jackson
• Janae Jackson, LMHP, LCSW
• Kayla Jackson

• Pediatrics Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.